Endotracheal tube Suctioning Process: Effectiveness of hands on Training on adherence in practice Among ICU Nurses

Background: Endotracheal suctioning (ETS) is one of the most common procedure performed in patients with artificial airways. It is a component of bronchial hygiene therapy and mechanical ventilation that involves the mechanical aspiration of pulmonary secretions from a patient’s artificial airway to prevent its obstruction the procedure includes patient preparation, the suctioning event, post procedure care. Tracheobronchial suctioning using the closed suctioning system has physiological benefits for critically ill patients. Because micro-aspiration of secretions is a risk factor for VAP, assessment of practices related to oral suctioning, oral care, and management of endotracheal tube is important. Materials and Methods: Research design used for the study was quasi-experimental with one group pre-test post-test design. The investigator has adopted non probability convenient sampling technique to select 30 samples of Staff nurses working in ICUs in selected hospital of Ahmedabad. The Questionnaire and checklist was selected to assess the level of knowledge and practice among staff nurses before and after giving hands on training on ET tube suctioning. Results: The mean pre-test score was 7.66 and the mean post-test score was 11.25. Thus, the mean difference of 4.6. The standard deviation of pre-test score was 1.35 and of post-test score was 1.12. The calculated “t” value was 12.75 and the tabulated “t” value was 1.69 at 0.05 level of significance for 29 df. Conclusion: The findings of present study indicate that hands on training have good effectiveness on improving knowledge and adherence in practice regarding ET tube suctioning among staff nurses.